APHRC Online Microdata Library
    Home / Central Data Catalog / HEALTH_AND_WELL-BEING / DDI-UGA-APHRC-BAOBAB-2023-V1.0
Health_and_Well-Being

Measuring Abortion Incidence, Severity of Complications, and Health Facilities’ Capacity to Provide Abortion Care in Refugee Settings in Uganda, BAOBAB STUDY

Uganda, 2023
Health and Well-Being (HaW)
Yohannes Wado
Last modified October 02, 2025 Page views 13668 Documentation in PDF Metadata DDI/XML JSON

Data file: PMS_MRR_UGANDA_RECAST

Cases 404
Variables 1026

Variables

pms_SubmissionDate
SubmissionDate
pms_starttime
Start time
pms_endtime
End time
pms_deviceid
Device id
pms_subscriberid
Subscriber id
pms_simid
simid
pms_devicephonenum
devicephonenum
pms_caseid
caseid
pms_device_info
device_info
pms_duration
Duration
pms_dateofpms
G2. Date of data collection visit
pms_g3
G3. Time started
pms_A1_region
A1. Region
settlement
A2_settlement_name
pms_level
A3a. Facility level
pms_A4_generated_id
A4_generated_id
pms_A5
A5. Is the patient incapacitated and unable to consent? [By answering no, you a
pms_A6
A6. Is the patient under the age of 15?
pms_A7
A7. Interview dialect
pms_A7_spy
A7.Specify other interview dialect
pms_A8a
A8a.Interpreter availability NOTE: If you (the interviewer) do not speak the la
pms_A8b
A8b. On-site interpreter availability
pms_consent_used
consent_used
pms_C1
C1. Do you agree to participate in the survey?
pms_C2
C2. Reason for non-consent
pms_C2_spy
C2. What other reason(s) led to her refusal to be interviewed?
pms_B1
B1. Do you agree to participate in the survey? (under 15 patient)
pms_C2a
C2a. There is a chance that we may also want to recontact you to inform you of
pms_C3
C3. Thank you for agreeing to participate in this study. To confirm your consen
pms_B2
B2. Thank you for allowing us to interview your provider and review your medica
pms_investigator
Investigator or person who conducted Informed Consent discussion: I confirm tha
pms_q101
101. What is your age?
pms_q102
102. What is your current marital status?
pms_q103
103. What is your religious belief?
pms_q103_spy
103. Specify other religion
pms_q104
104. Are you currently in school?
pms_q105
105. What is your highest level of education?
pms_q106
106. How many people, including you, live in your household?
pms_q107
107. During the past month, has your household income allowed you to take care
pms_q108
108. After taking care of all your household expense requirements, have members
pms_q109
109. Have you ever had to go for a full day without a meal during the past mont
pms_q110
110. During the past month, have you earned money for yourself?
pms_q111
111. Do you have electricity in your household?
pms_q112
112. What is the main source of the lighting/power in your household?
pms_q112_spy
112. Specify other source of lighting/power
pms_q113_questions_label
113. Which of the listed household items do you have in your household? Househo
pms_q113_1
1. Television
pms_q113_2
2. Radio
pms_q113_3
3. Mobile phone
pms_q121
121. Do you have any difficulty seeing, even if wearing glasses? Would you sayâ
pms_q122
122. Do you have any difficulty hearing, even if using a hearing aid? Would you
pms_q123
123. Do you have difficulty walking or climbing steps? Would you say…
pms_q124
124. Do you have difficulty remembering or concentrating? Would you say…
pms_q125
125. Do you have difficulty with self-care, such as washing all over or dressin
pms_q126
126. Using your usual language, do you have difficulty communicating, for examp
pms_q200
200. How many pregnancies have you had in total, including the one you are seek
pms_q201
201. Have you ever given birth?
pms_q202
202. In total, how many children have you given birth to (including any that ma
pms_q203
203. How many biological living children do you have, including those who are n
pms_q204
204. When was your last birth?
pms_q204_str
q204_str
pms_q204_unk
For don't know or refused to answer on day, month, or year, mark this check box
pms_q204_unit
Interviewer: Please check what is not known or refused:
pms_q204_unit_88
q204_unit_88
pms_q204_unit_8888
q204_unit_8888
pms_q205
205. Before the pregnancy that brought you to the hospital today, how many othe
pms_q206
206. Thinking about the pregnancy that brought you to the health facility today
pms_q206_1
q206_1
pms_q206_2
q206_2
pms_q206_3
q206_3
pms_q206_4
q206_4
pms_q206_96
q206_96
pms_q206_98
q206_98
pms_q206_99
q206_99
pms_q206_spy
206. Specify other way (Specify)
pms_q206a
206a. What kind of pregnancy test did you take?
pms_q206a_spy
206a.Specify other pregnancy test
pms_q207
207. Thinking about the pregnancy that brought you to the hospital today, at th
pms_q207_spy
207. Specify other decision (Specify)
pms_q208
208. How much longer would you like to have waited before getting pregnant?
pms_q209
209. You said you wanted the pregnancy at first but later changed your mind. Wh
pms_q209_1
q209_1
pms_q209_2
q209_2
pms_q209_3
q209_3
pms_q209_4
q209_4
pms_q209_5
q209_5
pms_q209_6
q209_6
pms_q209_96
q209_96
pms_q209_98
q209_98
pms_q209_99
q209_99
pms_q209_spy
209. Specify other reason
pms_q210
210 What are the reason(s) why you did not want the pregnancy at that time? Do
pms_q210_1
q210_1
pms_q210_2
q210_2
pms_q210_3
q210_3
pms_q210_4
q210_4
pms_q210_5
q210_5
pms_q210_6
q210_6
pms_q210_7
q210_7
pms_q210_8
q210_8
pms_q210_9
q210_9
pms_q210_10
q210_10
pms_q210_11
q210_11
pms_q210_12
q210_12
pms_q210_13
q210_13
pms_q210_14
q210_14
pms_q210_96
q210_96
pms_q210_98
q210_98
pms_q210_99
q210_99
pms_q210_spy
210 Specify the other reason(s) why you did not want to get pregnant at all
pms_q211
211. How many weeks (or months) pregnant were you before you lost your pregnanc
pms_q211_unit
q211_unit
pms_q211b
211b. How many pregnant were you before you lost your pregnancy?
pms_q212
212. At the time you became pregnant, were you using a method of contraception?
pms_q213
213. Why were you not using any contraceptive method? Do not read answer catego
pms_q213_1
q213_1
pms_q213_2
q213_2
pms_q213_3
q213_3
pms_q213_4
q213_4
pms_q213_5
q213_5
pms_q213_6
q213_6
pms_q213_7
q213_7
pms_q213_8
q213_8
pms_q213_9
q213_9
pms_q213_10
q213_10
pms_q213_11
q213_11
pms_q213_12
q213_12
pms_q213_13
q213_13
pms_q213_14
q213_14
pms_q213_15
q213_15
pms_q213_16
q213_16
pms_q213_96
q213_96
pms_q213_98
q213_98
pms_q213_99
q213_99
pms_q213_spy
213. Specify other reason
pms_q214
214. Which methods were you using (or what were you doing) at the time you beca
pms_q214_1
q214_1
pms_q214_2
q214_2
pms_q214_3
q214_3
pms_q214_4
q214_4
pms_q214_5
q214_5
pms_q214_6
q214_6
pms_q214_7
q214_7
pms_q214_8
q214_8
pms_q214_9
q214_9
pms_q214_10
q214_10
pms_q214_11
q214_11
pms_q214_12
q214_12
pms_q214_96
q214_96
pms_q214_98
q214_98
pms_q214_99
q214_99
pms_q214_spy
214. Specify other reason
pms_q215
215. Did you do anything to intentionally end your pregnancy?
pms_q216
216. Who made the decision to stop this pregnancy? Do not read answer categorie
pms_q216_1
q216_1
pms_q216_2
q216_2
pms_q216_3
q216_3
pms_q216_4
q216_4
pms_q216_5
q216_5
pms_q216_6
q216_6
pms_q216_96
q216_96
pms_q216_99
q216_99
pms_q216_spy
216. Specify other persons who made the decision
pms_q217
217. How long ago did you first try to stop this pregnancy?
pms_q217_unit
q217_unit
pms_q217_period
Indicate period in
pms_q218
218. What are things you did to try to end the pregnancy? Do not read answer ca
pms_q218_1
q218_1
pms_q218_2
q218_2
pms_q218_3
q218_3
pms_q218_4
q218_4
pms_q218_5
q218_5
pms_q218_6
q218_6
pms_q218_7
q218_7
pms_q218_8
q218_8
pms_q218_9
q218_9
pms_q218_10
q218_10
pms_q218_11
q218_11
pms_q218_96
q218_96
pms_q218_98
q218_98
pms_q218_99
q218_99
pms_qa18a
218. Other pill type (Specify)
pms_q218_spy
218. Specify other things you tried
pms_q218_choice_name
q218_choice_name
pms_q218_name
q218_name
pms_q219a
219a. You said you took pills to end your pregnancy, but you are not sure what
pms_q219a_1
q219a_1
pms_q219a_2
q219a_2
pms_q219a_3
q219a_3
pms_q219a_4
q219a_4
pms_q219a_5
q219a_5
pms_q219a_0
q219a_0
pms_q219a_98
q219a_98
pms_q219a_99
q219a_99
pms_q219b
219b. You said you took pills to end your pregnancy. Where did you get the pill
pms_q219b_1
q219b_1
pms_q219b_2
q219b_2
pms_q219b_3
q219b_3
pms_q219b_4
q219b_4
pms_q219b_5
q219b_5
pms_q219b_6
q219b_6
pms_q219b_7
q219b_7
pms_q219b_8
q219b_8
pms_q219b_9
q219b_9
pms_q219b_10
q219b_10
pms_q219b_96
q219b_96
pms_q219b_98
q219b_98
pms_q219b_99
q219b_99
pms_q219b_spy
219c. Specify other place
pms_q219c
219c. How did you learn about where you could go to get the medicines? Do not r
pms_q219c_1
q219c_1
pms_q219c_2
q219c_2
pms_q219c_3
q219c_3
pms_q219c_4
q219c_4
pms_q219c_5
q219c_5
pms_q219c_6
q219c_6
pms_q219c_7
q219c_7
pms_q219c_8
q219c_8
pms_q219c_9
q219c_9
pms_q219c_96
q219c_96
pms_q219c_98
q219c_98
pms_q219c_99
q219c_99
pms_q219c_spy
219c. Specify other place
pms_q219d
219d. What type of person provided the medicines to you? That is, who either wr
pms_q219d_spy
219d. Specify other person
pms_q219d_name
q219d_name
pms_q219d_provider
q219d_provider
pms_q219e
219e. What type of person provided the medicines to your friend, family member,
pms_q219e_spy
219e. Specify other person
pms_q219e_name
q219e_name
pms_q219e_provider
q219e_provider
pms_provider
provider
pms_provider_combined
provider_combined
pms_q219f
219f. Did the write a prescription to go purchase the medi
pms_q219g
219g. Did you pay for the medicines yourself, or did someone buy them for you?
pms_q219h
219h. Did the give you instructions for how to take this m
pms_q219i
Misoprostol/Mifepristone dose 219i. How many tablets of this medicine did the $
pms_q219j
Administration of pills 219j. How did the tell you to admi
pms_q219j_1
q219j_1
pms_q219j_2
q219j_2
pms_q219j_3
q219j_3
pms_q219j_4
q219j_4
pms_q219j_96
q219j_96
pms_q219j_99
q219j_99
pms_q219j_spy
219j. Specify other way
pms_q219k
219k. What did the tell you to expect after taking the tab
pms_q219k_0
q219k_0
pms_q219k_1
q219k_1
pms_q219k_2
q219k_2
pms_q219k_3
q219k_3
pms_q219k_4
q219k_4
pms_q219k_5
q219k_5
pms_q219k_6
q219k_6
pms_q219k_7
q219k_7
pms_q219k_8
q219k_8
pms_q219k_96
q219k_96
pms_q219k_99
q219k_99
pms_q219k_spy
219k. Specify other expectation
pms_q219l
219l. Did the tell you how much bleeding you should expect
pms_q220a
220a. You told me you had a surgical procedure. Where did you go to get the pro
pms_q220a_spy
220a. Specify other expectation
pms_q220b
220b. How did you learn about where you could go to have the procedure? Do not
pms_q220b_1
q220b_1
pms_q220b_2
q220b_2
pms_q220b_3
q220b_3
pms_q220b_4
q220b_4
pms_q220b_5
q220b_5
pms_q220b_6
q220b_6
pms_q220b_7
q220b_7
pms_q220b_8
q220b_8
pms_q220b_9
q220b_9
pms_q220b_96
q220b_96
pms_q220b_98
q220b_98
pms_q220b_99
q220b_99
pms_q220b_spy
220b. Specify other way you learned
pms_q220c
220c. What kind of surgical procedure did you get? Relevant definitions: Manual
pms_q220c_spy
220c.Specify other procedure
pms_q220d
220d. Who performed the surgical procedure?
pms_q220d_spy
Specify other person
pms_q220
220. You said you used traditional methods, like herbs to end your pregnancy. W
pms_q221a
221a. Where did you go to get the Do not read response categories
pms_q221a_spy
221a. Other place (Specify)
pms_q221b
221b. How did you learn that the could help end a pregnancy? Do no
pms_q221b_1
q221b_1
pms_q221b_2
q221b_2
pms_q221b_3
q221b_3
pms_q221b_4
q221b_4
pms_q221b_5
q221b_5
pms_q221b_6
q221b_6
pms_q221b_7
q221b_7
pms_q221b_8
q221b_8
pms_q221b_9
q221b_9
pms_q221b_96
q221b_96
pms_q221b_98
q221b_98
pms_q221b_99
q221b_99
pms_q221b_spy
221b. Specify other way you learned
pms_q221c
221c. What type of person provided the Do not read response catego
pms_q221c_spy
221c.Specify other person
pms_q300
Now I will ask you questions about the symptoms you experienced and the decisio
pms_q300_1
q300_1
pms_q300_2
q300_2
pms_q300_3
q300_3
pms_q300_4
q300_4
pms_q300_5
q300_5
pms_q300_6
q300_6
pms_q300_96
q300_96
pms_q300_99
q300_99
pms_q300_spy
300. Specify other reasons
pms_q301
301. When did your first symptoms begin?
pms_q301_str
q301_str
pms_q301_unk
For Don't know or Refused to answer, Mark this check box
pms_q301a
301a. Time of the day
pms_label_q302
302. Please describe the problems you had when you first started having health
pms_q302_1
1. Bleeding
pms_q302_2
2. Pain
pms_q302_3
3. Fever
pms_q302_4
4. Vaginal discharge (other than blood)
pms_q302_96
5. Other (Specify)
pms_q302_96_spy
302.6. Specify the other complications you experienced.
pms_q303
303. When did you realize you needed help?
pms_q303_str
q303_str
pms_q303_unk
For Don't know or Refused to answer, Mark this check box
pms_q303a
303a. Time of the day
pms_q304
304. What did you do when you realized you needed help? [Do not read answer cat
pms_q304_1
q304_1
pms_q304_2
q304_2
pms_q304_3
q304_3
pms_q304_4
q304_4
pms_q304_5
q304_5
pms_q304_6
q304_6
pms_q304_7
q304_7
pms_q304_96
q304_96
pms_q304_99
q304_99
pms_q304_spy
304. Specify other thing you did when you realized you needed help
pms_q305
305. Did you seek help directly in this health facility when you first realized
pms_q306
306. Where did you go before arriving at this health facility? [Do not read res
pms_q306_1
q306_1
pms_q306_2
q306_2
pms_q306_3
q306_3
pms_q306_4
q306_4
pms_q306_96
q306_96
pms_q306_99
q306_99
pms_q306_spy
306. Specify other place you went
pms_q306a
306a. How many other facilities/hospitals did you go to before arriving at this
pms_q307
Date (DD/MM/YYYY)
pms_q307_str
q307_str
pms_q307_unk
For Don't know or Refused to answer, Mark this check box
pms_q307a
307a. Time of the day
pms_q308
308. In your opinion, once you realized that you needed help, was the decision
pms_q309
309. What was or were the reason(s) why you think that the decision took longer
pms_q309_1
q309_1
pms_q309_2
q309_2
pms_q309_3
q309_3
pms_q309_4
q309_4
pms_q309_5
q309_5
pms_q309_6
q309_6
pms_q309_7
q309_7
pms_q309_8
q309_8
pms_q309_9
q309_9
pms_q309_10
q309_10
pms_q309_11
q309_11
pms_q309_12
q309_12
pms_q309_13
q309_13
pms_q309_14
q309_14
pms_q309_15
q309_15
pms_q309_96
q309_96
pms_q309_99
q309_99
pms_q309_spy
309. Specify other reasons
pms_q310
310. How did you get to this health facility?
pms_q310_spy
Specify other way you came to this health facility
pms_q311
311. When did you arrive at this health facility?
pms_q311_str
q311_str
pms_q311_unk
For Don't know or Refused to answer, Mark this check box
pms_q311a
311a. Time of the day
pms_label_q312
312. Now please describe the problems you had as a result of this pregnancy, bu
pms_q312_1
1. Bleeding
pms_q312_2
2. Pain
pms_q312_3
3. Fever
pms_q312_4
4. Vaginal discharge (other than blood)
pms_q312_96
5. Other (Specify)
pms_q312_96_spy
312. Specify the other complications you experienced.
pms_q313
313. Thinking about all your health problems put together, will you consider yo
pms_q314
314. In your opinion, what do you think of the time it took you to arrive at th
pms_q315
315. What (was/were) the reason(s) why you think it took too long to arrive at
pms_q315_1
q315_1
pms_q315_2
q315_2
pms_q315_3
q315_3
pms_q315_4
q315_4
pms_q315_5
q315_5
pms_q315_6
q315_6
pms_q315_7
q315_7
pms_q315_8
q315_8
pms_q315_96
q315_96
pms_q315_97
q315_97
pms_q315_99
q315_99
pms_q315_spy
Specify other reasons
pms_q316
316. How much did you pay for the journey to this health facility (e.g. fare, p
pms_q317
317. Were there additional transportation costs for any person (people) who cam
pms_label_q318
318. Did you pay for each of the following goods or services during your stay i
pms_q318_1
1. Consultation (including admission card fee)
pms_q318_2
2. Medicine
pms_q318_3
3. Hospital supplies
pms_q318_4
4. Lab tests (e.g., x-ray, blood test)
pms_q318_5
5. Additional money paid to staff (e.g., appreciation fees)
pms_q318_6
6. Patient's food and lodging
pms_q318_7
7. Meals and lodging for the person who accompanied you here
pms_q318_8
8. Other costs
pms_q319a
319a. Please specify what kind of consultations you paid for:
pms_q319b
319b. How much did you pay for the consultations, including admission card fee,
pms_q320a
320. Please specify what kind of medicines you paid for: [Enter for 'Don'
pms_q320b
320b. How much did you pay for the medicines that you received here? [Enter `88
pms_q321a
321. Please specify what kind of hospital supplies you paid for: [Enter f
pms_q321b
321b. How much did you pay for supplies? [Enter for 'Don't know' and `999
pms_q322a
322. Please specify what kind of lab tests (including x-rays, scans) you paid f
pms_q322b
322b. How much did you pay for lab tests (including x-rays, scans)? [Enter `888
pms_q323a
323. Please give details of additional money paid to staff (e.g. appreciation f
pms_q323b
323b. How much was the additional money paid? [Enter for 'Don't know' and
pms_q324
COST OF FOOD/LODGING 324. How much did you pay for any food and/or lodging? [En
pms_q325
325. How much did you pay for meals and/or lodging for the person/people who ac
pms_q326a
326a. Please give details of what other costs you paid for that we did not ment
pms_q326b
326b. How much was the additional money paid for any other costs not mentioned
pms_q327
327. (Only in case it is not possible to breakdown expenses), How much in total
pms_label_q328
328. How were the services that you received today paid for? [Read each payment
pms_q328_1
1. Cash (Include any co-payment to insurance)
pms_q328_2
2. National Hospital Insurance Fund (NHIF)
pms_q328_3
3. Community Health Insurance Scheme
pms_q328_4
4. Private health insurance
pms_q328_5
5. Waived/exempted
pms_q328_6
6. Given opportunity to pay later (Credit)
pms_q328_96
7. Other (specify)
pms_q328_96_spy
328.7. Please Specify other way
pms_q329
329. Where did you get the funds to pay for the services? (Do not prompt. Selec
pms_q329_1
q329_1
pms_q329_2
q329_2
pms_q329_3
q329_3
pms_q329_4
q329_4
pms_q329_5
q329_5
pms_q329_6
q329_6
pms_q329_7
q329_7
pms_q329_8
q329_8
pms_q329_9
q329_9
pms_q329_10
q329_10
pms_q329_96
q329_96
pms_q329_98
q329_98
pms_q329_99
q329_99
pms_q329_10_spy
329. Sell assets (e.g. animal, household goods) - Specify
pms_q329_96_spy
329. Other Specify
pms_q330
330. Did you receive financial or material help to pay for the expenses related
pms_q330a
330a. Specify value in UGSH [Enter for 'Don't know' and for 'No re
pms_q330b
330b.Specify what, and estimate value in UGSH.
pms_q331
331. Were you the main provider who provided PAC care to this patient? FOR INTE
pms_q400
400. How do you feel about the amount of time you waited to be seen by a provid
pms_q401
401. During your time in this facility did the doctors, nurses, or other health
pms_qpc_grp1_label
Questions
pms_q402a
a. Did the doctors, nurses, or other health care providers call you by your nam
pms_q402b
b. Did the doctors, nurses, or other staff at this facility treat you with resp
pms_q402c
c. During your time in this facility, would you say you were treated differentl
pms_q402d
d. When you were speaking to the doctors, nurses or other staff at this facilit
pms_q402e
e. Do you feel like your health information was or will be kept confidential at
pms_q402f
f. Did the doctors, nurses or other staff at this facility ask your permission/
pms_q402g
g. Did the doctors, nurses or other staff at this facility speak to you in a la
pms_q402h
h. Did the doctors and nurses explain to you why they were doing examinations o
pms_q402i
i. Did the doctors and nurses explain to you why they were giving you any medic
pms_q402j
j. At any point during your time at this facility, did the doctors and nurses a
pms_qpc_grp2_label
Questions
pms_q402k
k.Did you feel you could ask the doctors, nurses or other staff at this facilit
pms_q402l
l. Did the doctors and nurses ask how much pain you were in?
pms_q402m
m. Do you feel the doctors or nurses did everything they could to help control
pms_q402n
n. Did you feel the doctors, nurses, or other health providers shouted at you,
pms_q402o
o. Did you feel like you were treated roughly like pushed, beaten, slapped, pin
pms_q402p
p. During your time at this facility, did any staff at the facility ask you or
pms_q402q
q. Did you feel you could completely trust the doctors, nurses or other staff a
pms_q403
403. Did the health workers in this facility talk to you about taking family pl
pms_q404
404. What method(s) of family planning did they tell you were available? [Do no
pms_q404_1
q404_1
pms_q404_2
q404_2
pms_q404_3
q404_3
pms_q404_4
q404_4
pms_q404_5
q404_5
pms_q404_6
q404_6
pms_q404_7
q404_7
pms_q404_8
q404_8
pms_q404_9
q404_9
pms_q404_96
q404_96
pms_q404_98
q404_98
pms_q404_99
q404_99
pms_q404_spy
404. Specify the other method(s)
pms_q405
405. Are you leaving the facility with a method of family planning or a referra
pms_q406
406. Did you want to leave the facility with a family planning method?
pms_q407
407. Why did you not get a method today? [Do not read response options out loud
pms_q407_1
q407_1
pms_q407_2
q407_2
pms_q407_3
q407_3
pms_q407_4
q407_4
pms_q407_5
q407_5
pms_q407_96
q407_96
pms_q407_99
q407_99
pms_q407_spy
407. Specify the other reason(s)
pms_q408
408. Which family planning method are you leaving with? [Do not read response o
pms_q408_1
q408_1
pms_q408_2
q408_2
pms_q408_3
q408_3
pms_q408_4
q408_4
pms_q408_5
q408_5
pms_q408_6
q408_6
pms_q408_7
q408_7
pms_q408_8
q408_8
pms_q408_9
q408_9
pms_q408_96
q408_96
pms_q408_98
q408_98
pms_q408_99
q408_99
pms_q408_spy
408. Specify the other method(s)
pms_q409
409. Is this the method you wanted to leave with?
pms_q501
501. To your knowledge, under which circumstances is abortion LEGAL in Uganda?
pms_q501_1
q501_1
pms_q501_2
q501_2
pms_q501_3
q501_3
pms_q501_4
q501_4
pms_q501_5
q501_5
pms_q501_6
q501_6
pms_q501_7
q501_7
pms_q501_8
q501_8
pms_q501_9
q501_9
pms_q501_10
q501_10
pms_q501_11
q501_11
pms_q501_12
q501_12
pms_q501_13
q501_13
pms_q501_14
q501_14
pms_q501_15
q501_15
pms_q501_96
q501_96
pms_q501_98
q501_98
pms_q501_99
q501_99
pms_q501_spy
501. Under what other circumstances is abortion legal?
pms_q502
502. Do you believe you could find a way to have an abortion in this community?
pms_q503
503. Where do you think you could go for help having an abortion in this commun
pms_q503_1
q503_1
pms_q503_2
q503_2
pms_q503_3
q503_3
pms_q503_4
q503_4
pms_q503_5
q503_5
pms_q503_6
q503_6
pms_q503_7
q503_7
pms_q503_8
q503_8
pms_q503_9
q503_9
pms_q503_10
q503_10
pms_q503_96
q503_96
pms_q503_98
q503_98
pms_q503_99
q503_99
pms_q503_spy
503. Specify other place you think you could go for help
pms_qabortion_grp_label1
504. Questions
pms_q504_a
A woman who has an abortion is committing a sin
pms_q504_b
Once a woman has one abortion, she will make it a habit.
pms_q504_c
A woman who has had an abortion cannot be trusted.
pms_q504_d
A woman who has an abortion brings shame to her family
pms_q504_e
The health of a woman who has an abortion is never as good as it was before the
pms_q504_f
A woman who has had an abortion might encourage other women to get abortions.
pms_q504_g
A woman who has an abortion is a bad mother
pms_q504_h
A woman who has an abortion brings shame to her community.
pms_q504_i
A woman who has had an abortion should be prohibited from going to religious se
pms_qabortion_grp_label2
504. CONT…D Questions
pms_q504_j
A man should not marry a woman who has had an abortion because she may not be a
pms_q504_k
A woman who has an abortion should be treated the same as everyone else.
pms_q504_l
A woman who has an abortion can make other people fall ill or get sick.
pms_q504_m
A woman who has an abortion should be isolated from other people in the communi
pms_q504_n
If a man has sex with a woman who has had an abortion, he will become infected
pms_q504_o
I would tease a woman who has had an abortion so that she will be ashamed about
pms_q504_p
I would try to disgrace a woman in my community if I found out she'd had an abo
pms_q504_q
I would stop being friends with someone if I found out that she had an abortion
pms_q504_r
I would point my finger at a woman who had an abortion so that other people kne
pms_q600
600. Thinking about your current place of residence, have you always lived ther
pms_q601
601. Why did you decide to leave your former place of residence?
pms_q601_1
q601_1
pms_q601_2
q601_2
pms_q601_3
q601_3
pms_q601_4
q601_4
pms_q601_5
q601_5
pms_q601_96
q601_96
pms_q601_99
q601_99
pms_q601_spy
601. Other reason (Specify)
pms_q602
602. Did you come from another country?
pms_q602a
602a. What country are you from?
pms_q602a_spy
602a. Other country (Specify)
pms_q602b
602b.How long ago did you move to Uganda?
pms_q603
603. Do you currently live in a camp/settlement?
pms_qv_grp2_ask
If you would like some support to help with the consequences of experiencing vi
pms_q604
604. Would you say that your current neighborhood/place of residence is an area
pms_q604_1
q604_1
pms_q604_2
q604_2
pms_q604_0
q604_0
pms_q604_99
q604_99
pms_q605a
605a. During the last month, how safe did you feel going to a health facility d
pms_q605b
605b. During the last month, how safe did you feel going to a health facility d
pms_q606
606. In the past 12 months, have you heard about anyone who disappeared or who
pms_q607
607. In the past 12 months, have you witnessed (actually seen) someone close to
pms_q608
608. In the past 12 months, have you been separated from family member(s) becau
pms_q608_1
q608_1
pms_q608_2
q608_2
pms_q608_0
q608_0
pms_q608_99
q608_99
pms_q609
609. In the past 12 months, have you been exposed to armed combat (such as shel
pms_q610
610. In the past 12 months, have you been hit, punched, kicked, slapped, choked
pms_q610_1
q610_1
pms_q610_2
q610_2
pms_q610_0
q610_0
pms_q610_99
q610_99
pms_q611
611. In the past 12 months, have you been forced to have sex against your will?
pms_q611_1
q611_1
pms_q611_2
q611_2
pms_q611_0
q611_0
pms_q611_99
q611_99
pms_q612
612. In the past 12 months, were you ever forced to have sex to be able to eat,
pms_q613
613. In the past 12 months, were you ever physically forced or made to feel tha
pms_q614
614. Is the pregnancy that just ended a result of a sexual intercourse against
pms_q615
615. Has anyone forced you to lose this pregnancy?
pms_q616a
616a. If you wish, I can refer you to services for your experiences of violence
pms_pms_counselling
This is the end of my questions, and I want to thank you for your help on this
pms_result_pms_pat_r1
End of the Patient PMS Interview. Outcome of the interview
pms_pms_comments
End Comments of the Patient PMS interview
pms_AFS
pms_q1
1. INTERVIEW DETAILS Date of provider interview
pms_start_time
Start time of provider interview
pms_q3
3. Is the respondent available for an interview?
pms_q3a
3a. Has this provider already consented to participate in the study?
pms_short_consent
Shortened Consent Text for Providers Who Have Already Been Consented – Prospe
pms_short_consent_sign
Gather initials FW'S NOTE::You must SAVE the initials before you proceed to the
V635
B1. Do you agree to participate in the survey? (provider)
pms_b2a
B2a. There is a chance that we may also want to recontact you to clarify detail
pms_b2b
B2b. Thank you for agreeing to participate in this study. To confirm your conse
pms_b2b_sign
Gather initials FW'S NOTE::You must SAVE the initials before you proceed to the
pms_b2c
Note to Interviewer: Do not read this out loud: B2c. Investigator or person who
pms_b2c_sign
Field interviewer to sign or insert initials FW'S NOTE::You must SAVE the signa
pms_b3
Note to Interviewer: Do not read this out loud: B3. Investigator or person who
pms_gg1
G1. Date of admission (or date presented, if OPD patient) [Select January 1, 20
pms_gg2
G2. Was the patient a Near Miss case? [The WHO defines 'near miss' as a woman w
pms_gg3
G3. What type of admission was done for this patient?
pms_gg4
G4. If inpatient, how many nights did the patient stay? [Enter '8888' if don't
pms_i1
I1. What was the initial diagnosis when the patient first presented at the faci
pms_i2
I2. What type of complaint did the patient come with to the facility? SELECT AL
pms_i2_1
i2_1
pms_i2_2
i2_2
pms_i2_3
i2_3
pms_i2_4
i2_4
pms_i2_5
i2_5
pms_i2_6
i2_6
pms_i2_96
i2_96
pms_i2_98
i2_98
pms_i2_99
i2_99
pms_i3
I3. What other complaint did the patient come with? (Specify)
pms_i4
I4. Number of days of any symptoms before presenting to this health facility, i
pms_i5
I5. Was there evidence that the expulsion of some products of conception occurr
pms_i6
I6. What was the patient's gestational age (in weeks) when she presented?
pms_i7
I7. Body temperature (in Celsius) [Body temperature should be between 30 degree
pms_i8
I8. Pulse rate [Pulse rate should not be below 10 or above 400 bpm]
pms_i9
I9. Systolic blood pressure [Systolic blood pressure should not be below 20 or
pms_i10
I10. Diastolic blood pressure [Diastolic blood pressure should not be below 20
pms_i11
I11. Respiratory rate [Respiratory rate should not be below 5 or above 40 breat
pms_i12
I12. What was the patient's appearance upon arrival?
pms_i13
I13. What was the patient's mental status upon arrival?
pms_i14
I14. Did the abdomen appear normal upon initial examination?
pms_label_i15
I15. What did you detect upon examination of the patient's abdomen? For each cl
pms_i15_1
Abdominal tenderness on palpation
pms_i15_2
Rebounding/guarding (defense)
pms_i15_3
Tense/hard (contracture)
pms_i15_4
Distended abdomen
pms_i15_5
Decreased bowel sounds
pms_i15_6
Uterine tenderness
pms_i15_7
Evidence of cervical and or vaginal mechanical injury
pms_i15_8
Adnexal mass
pms_i15_9
Excruciating pain in the pouch of Douglas
pms_i15_10
Culdocentesis showing blood
pms_i15_11
Presence of abnormal vesicular tissue coming out from uterus/vagina
pms_cc1
C1. Was there any evidence of foreign body (medication or other object) in vagi
pms_cc1a
C1a. What type of foreign body did you detect?
pms_cc1a_spy
C1a. Other (Specify)
pms_cc2
C2. Upon examination, did you detect signs of a mechanical injury?
pms_cc2a
C2a. Which of the following mechanical injuries did you detect? SELECT ALL THAT
pms_cc2a_1
cc2a_1
pms_cc2a_2
cc2a_2
pms_cc2a_3
cc2a_3
pms_cc2a_4
cc2a_4
pms_cc2a_5
cc2a_5
pms_cc2a_6
cc2a_6
pms_cc2a_96
cc2a_96
pms_cc2a_99
cc2a_99
pms_cc2a_spy
C5a. Specify other mechanical injuries
pms_cc3
C3. On vaginal examination, did you notice offensive or foul smelling products
pms_cc4
C4. Did you find any sign of infection on examination?
pms_cc5
C5. What complications did you find on examination and investigation? Do not re
pms_cc5_1
cc5_1
pms_cc5_2
cc5_2
pms_cc5_3
cc5_3
pms_cc5_4
cc5_4
pms_cc5_5
cc5_5
pms_cc5_6
cc5_6
pms_cc5_7
cc5_7
pms_cc5_8
cc5_8
pms_cc5_9
cc5_9
pms_cc5_10
cc5_10
pms_cc5_11
cc5_11
pms_cc5_12
cc5_12
pms_cc5_13
cc5_13
pms_cc5_96
cc5_96
pms_cc5_99
cc5_99
pms_cc5a_spy
C5a. What other complications did you find?
pms_cc5_i
C5i. How did you determine if they had Anemia?
pms_cc5_i_1
cc5_i_1
pms_cc5_i_2
cc5_i_2
pms_cc5_i_3
cc5_i_3
pms_cc5_i_96
cc5_i_96
pms_cc5_i_99
cc5_i_99
pms_cc5_i_spy
C5i. Other way (specify)
pms_cc6
C6. Did you detect signs of organ/system failure?
pms_cc6a
C6a. What signs of organ/system failure did you find on examination and investi
pms_cc6a_1
cc6a_1
pms_cc6a_2
cc6a_2
pms_cc6a_3
cc6a_3
pms_cc6a_4
cc6a_4
pms_cc6a_5
cc6a_5
pms_cc6a_6
cc6a_6
pms_cc6a_96
cc6a_96
pms_cc6a_99
cc6a_99
pms_cc6b
C6b. What other organ/system failure did you find?
pms_cc7
C7. Was the abortion septic?
pms_cc9
C9. What is the patient's final diagnosis?
pms_cc9a
C9a. What is the patient's final diagnosis?
pms_p2
P2. What was the main evacuation procedure that was performed?
pms_p2a
P2a. What was the main evacuation procedure used?
pms_p3
P3. Where was the evacuation procedure performed?
pms_p3_spy
P3. Other (Specify)
pms_p4
P4. The evacuation procedure was performed primarily by what type of provider?
pms_p4a
P4a. What was the cadre that performed the evacuation procedure? (Specify)
pms_p5
P5. Was the client provided any pain medication during the evacuation procedure
pms_p5a
P5a. What did the client receive during the evacuation procedure? Do not read r
pms_p5a_1
p5a_1
pms_p5a_2
p5a_2
pms_p5a_3
p5a_3
pms_p5a_96
p5a_96
pms_p5a_99
p5a_99
pms_p5b
P5b. What other medication did the client receive?
pms_p6
P6. Besides an evacuation procedure, did the patient receive any other surgical
pms_p7
P7. What surgical procedure(s) were performed on the client at this facility? S
pms_p7_1
p7_1
pms_p7_2
p7_2
pms_p7_3
p7_3
pms_p7_4
p7_4
pms_p7_5
p7_5
pms_p7_6
p7_6
pms_p7_7
p7_7
pms_p7_8
p7_8
pms_p7_96
p7_96
pms_p7_99
p7_99
pms_p7a
P7a. What other surgical procedure(s) were performed?
pms_p8
P8. Was the client administered antibiotics during her current visit at this fa
pms_p9a
P9a. Why were antibiotics administered?
pms_p9
P9. What type of antibiotic was administered?
pms_p10
P10. Who supplied the antibiotic that was administered?
pms_p11
P11. During the patient's visit, was she given Intravenous fluids?
pms_p12
P12. During the patient's visit, was she given misoprostol?
pms_p13
P13. For what indication was she given misoprostol? Do not read response option
pms_p13_1
p13_1
pms_p13_2
p13_2
pms_p13_98
p13_98
pms_p13_99
p13_99
pms_p14
P14. How many doses of misoprostol was she given?
pms_p17
P17. What route was the misoprostol administered? Do not read response options
pms_p17_1
p17_1
pms_p17_2
p17_2
pms_p17_3
p17_3
pms_p17_98
p17_98
pms_p17_99
p17_99
pms_p18
P18. During the patient's visit, did she receive a transfusion of blood product
pms_p19
P19. How many units were transfused? [Enter '8888' if don't know or '9999' if r
pms_p20
P20. How many units were prescribed? [Enter '8888' if don't know or '9999' if r
pms_p21
P21. During the patient's visit, was she given Oxytocin?
pms_p22
P22. What dose of oxytocin was she given? [Enter '8888' if don't know or '9999'
pms_p23
P23. What route was the oxytocin administered? Do not read response options out
pms_p23_1
p23_1
pms_p23_2
p23_2
pms_p23_98
p23_98
pms_p23_99
p23_99
pms_p24
P24. During the patient's visit, was she given any other uterotonics?
pms_p25
P25. What other uterotonics was she given? SELECT ALL THAT APPLY.
pms_p25_1
p25_1
pms_p25_2
p25_2
pms_p25_3
p25_3
pms_p25_96
p25_96
pms_p25_98
p25_98
pms_p25_99
p25_99
pms_p25_spy
P25. Other (Specify)
pms_p26
P26. Was the patient given any pain medication on discharge to manage pain afte
pms_p27
P27. What pain medication was the patient given? Do not read response options o
pms_p27_1
p27_1
pms_p27_2
p27_2
pms_p27_3
p27_3
pms_p27_96
p27_96
pms_p27_98
p27_98
pms_p27_99
p27_99
pms_p27_spy
P27. Other (Specify)
pms_pro_q501
501. We know it is sometimes difficult to determine whether a patient is seekin
pms_pro_q502
502. What are the reasons you think the abortion may have been induced? Do not
pms_pro_q502_1
pro_q502_1
pms_pro_q502_2
pro_q502_2
pms_pro_q502_96
pro_q502_96
pms_pro_q502_99
pro_q502_99
pms_pro_q502_spy
502. Other reason (Specify)
pms_pro_q503
503. Based on your best assessment, what method did the patient likely use to i
pms_pro_q503_1
pro_q503_1
pms_pro_q503_2
pro_q503_2
pms_pro_q503_3
pro_q503_3
pms_pro_q503_4
pro_q503_4
pms_pro_q503_5
pro_q503_5
pms_pro_q503_6
pro_q503_6
pms_pro_q503_96
pro_q503_96
pms_pro_q503_98
pro_q503_98
pms_pro_q503_99
pro_q503_99
pms_pro_q503_spy
503. Other (Specify)
pms_f1
F1. What was the outcome from managing this patient?
pms_f1a
F1a. What was the outcome from managing this patient?
pms_f2
F2. Date of discharge, death, referral, etc. [Select January 1, 2030 if unknown
pms_f3
F3. Was the patient counseled on family planning upon discharge?
pms_f4
F4. Was the patient given a modern method of family planning?
pms_f5
F5. If patient was given family planning, which method
pms_f5_1
f5_1
pms_f5_2
f5_2
pms_f5_3
f5_3
pms_f5_4
f5_4
pms_f5_6
f5_6
pms_f5_7
f5_7
pms_f5_8
f5_8
pms_f5_9
f5_9
pms_f5_96
f5_96
pms_f5_98
f5_98
pms_f5_99
f5_99
pms_f5a
F5a. What was the modern family planning method provided to the patient?
pms_f6
F6. If patient was NOT given family planning at this facility, was the patient
pms_e5
E5. General observations of the Provider PMS interview
pms_Final_comments
END Final comments
pms_instanceName
instanceName
pms_formdef_version
Form version used on device
pms_KEY
Unique submission ID
pms_level_rc
Facility level recoded
pms_settlement_rc
patientid
pms_randomid
A4_generated_id
mrr_submissiondate
Date/time submitted
mrr_start
Start time
mrr_end
End time
mrr_today
Interview date
mrr_deviceid
Device id
mrr_subscriberid
Subscriber id
mrr_simid
simid
mrr_devicephonenum
devicephonenum
mrr_duration
Duration
mrr_duration_min
Duration in Minutes
mrr_random_id
random_id
mrr_a3_facility_spy
Other Facility (Specify the name)
mrr_m2
INTERVIEW DETAILS M.2. Date of MRR
mrr_start_time
Start time of MRR
mrr_a1_d
A1. Date and time of presentation at facility: [Enter January 1, 2030 for date
mrr_a1_t
Time
mrr_a1_t_missing
Select if time of admission is missing
mrr_a_2
A2. Hospitalization in the facility
mrr_a_3
A3. Number of pregnancies (INCLUDING the current pregnancy)
mrr_a_4
A4. Number of previous births
mrr_a_5
A5. Number of previous abortions (both induced & spontaneous)
mrr_a6_a
a. Hypertension
mrr_a6_b
b. Diabetes Mellitus
mrr_a6_c
c. HIV+
mrr_a6_d
d. Sickle cell anemia
mrr_a6_e
e Obesity
mrr_a6_f
f. Heart disease
mrr_a6_g
g. Lung disease
mrr_a6_h
h. Renal disease
mrr_a6_i
i. Mental illness
mrr_a6_j
j. Other chronic disease
mrr_a6_j_spy
j. Other chronic disease (Specify)
mrr_ao
reserved_name_for_field_list_labels_59
mrr_a8_a
a. UTI
mrr_a8_b
b. STI
mrr_a8_c
c. Malaria
mrr_a9
A9. Best estimate of gestational age [Enter '8888' if unknown or missing.] [Com
mrr_a10
A10. Method how assessed:
mrr_a10_date
A10. Specify the date [Enter January 1, 2030 if unknown or missing.]
mrr_a11_a
a. Temperature [Celsius]
mrr_a11_b
b. Heart rate [bpm]
mrr_a11_c
c. Systolic blood pressure [mm Hg]
mrr_a11_d
d. Diastolic blood pressure [mm Hg]
mrr_a11_e
e. Respiratory rate [per min]
mrr_b1
B1. Hemoglobin (lowest value recorded) [g/dl] [Enter '8888' if unknown or missi
mrr_b2
B2. Leukocytes (highest value recorded) [/mm3] [Enter '8888' if unknown or miss
mrr_b3
B3. Platelets (lowest value recorded) [/mm3] [Enter '8888' if unknown or missin
mrr_c1
SEVERE COMPLICATIONS C1. Severe vaginal bleeding, with evidence of: SELECT ALL
mrr_c1_1
c1_1
mrr_c1_2
c1_2
mrr_c1_3
c1_3
mrr_c1_98
c1_98
mrr_c1_a
C1. a. When did the patient present with severe vaginal bleeding?
mrr_c2
C2. Abdominal Syndrome (Intra-abdominal injury suspicion), with evidence of: SE
mrr_c2_1
c2_1
mrr_c2_2
c2_2
mrr_c2_3
c2_3
mrr_c2_4
c2_4
mrr_c2_98
c2_98
mrr_c2_a
C2. a. When did the patient present with abdominal syndrome?
mrr_c3
C3. Uterine infection (endometriosis or chorioamnionitis), with evidence of: SE
mrr_c3_1
c3_1
mrr_c3_2
c3_2
mrr_c3_98
c3_98
mrr_c3_a
C3. a. When did the patient present with uterine infection?
mrr_c4
POTENTIALLY LIFE-THREATENING COMPLICATIONS C4. Severe hemorrhage, with evidence
mrr_c4_1
c4_1
mrr_c4_2
c4_2
mrr_c4_3
c4_3
mrr_c4_4
c4_4
mrr_c4_98
c4_98
mrr_c4_a_1_spy
1. Estimated blood loss [ml]
mrr_c4_a_2_spy
2. Lowest (SBP) < 100 [mm Hg]
mrr_c4_a_4_spy
3. Lowest Hb level [g/dl]
mrr_c4_b
C4. b. When did the patient present with severe hemorrhage?
mrr_c5
C5. Generalized peritonitis* NOTE: To meet the definition for generalize perito
mrr_c6
C6. Severe systemic infection, with evidence of: SELECT ALL THAT APPLY. NOTE: T
mrr_c6_1
c6_1
mrr_c6_2
c6_2
mrr_c6_3
c6_3
mrr_c6_98
c6_98
mrr_c6_a_infection
C6. a.Please specify the type of infection
mrr_c6_b
C6. b. When did the patient present with severe systemic infection?
mrr_c7
C7. Tetanus infection signs
mrr_c8
C8. Uterine perforation NOTE: Perforation of uterus confirmed by laparotomy
mrr_c9
C9. Other Intra-abdominal perforation* *Evidence of bladder, rectum, bowel perf
mrr_c10
SEVERE ORGAN DYSFUNCTION (NEAR MISS) C10. Cardiovascular dysfunction, with evid
mrr_c10_1
c10_1
mrr_c10_2
c10_2
mrr_c10_3
c10_3
mrr_c10_4
c10_4
mrr_c10_5
c10_5
mrr_c10_6
c10_6
mrr_c10_98
c10_98
mrr_c10_a
C10. a. When did the patient present with cardiovascular dysfunction?
mrr_c10_b_1a_spy
1a. Lowest systolic blood pressure [mm Hg for > 60 min]
mrr_c10_b_1b_spy
1b. Highest pulse rate [per min]
mrr_c10_b_1c_spy
1c. Quantity of replacement fluid given [ml]
mrr_c10_b_3_spy
4. Highest Lactate level on lab test [mmol/L]
mrr_c10_b_4_spy
5. Lowest blood pH
mrr_c10_b_5_spy
6. Vasoactive medication used
mrr_c11
C11. Respiratory dysfunction, with evidence of: SELECT ALL THAT APPLY.
mrr_c11_1
c11_1
mrr_c11_2
c11_2
mrr_c11_3
c11_3
mrr_c11_4
c11_4
mrr_c11_5
c11_5
mrr_c11_6
c11_6
mrr_c11_98
c11_98
mrr_c11_a
C11. a. When did the patient present with respiratory dysfunction?
mrr_c11_b
C11. b. Lowest oxygen rate saturation [% for >60 min]
mrr_c12
C12. Renal dysfunction, with evidence of: SELECT ALL THAT APPLY.
mrr_c12_1
c12_1
mrr_c12_2
c12_2
mrr_c12_3
c12_3
mrr_c12_98
c12_98
mrr_c12_a
C12. a. When did the patient present with renal dysfunction?
mrr_c12_b
C12. b. Highest creatinine level [mcmol/L]
mrr_c13
C13. Coagulation dysfunction, with evidence of: SELECT ALL THAT APPLY.
mrr_c13_1
c13_1
mrr_c13_2
c13_2
mrr_c13_3
c13_3
mrr_c13_98
c13_98
mrr_c13_a
C13. a. When did the patient present with coagulation dysfunction?
mrr_c13b_2_spy
2. Lowest platelet count [/mm3]
mrr_c13b_3_spy
3. How many units transfused [units]
mrr_c14
C14. Hepatic dysfunction, with evidence of: SELECT ALL THAT APPLY.
mrr_c14_1
c14_1
mrr_c14_2
c14_2
mrr_c14_98
c14_98
mrr_c14_a
C14. a. When did the patient present with hepatic dysfunction?
mrr_c14b_spy
3. Lowest platelet count [mcmol/L]
mrr_c15
C15. Neurologic dysfunction, with evidence of: SELECT ALL THAT APPLY.
mrr_c15_1
c15_1
mrr_c15_2
c15_2
mrr_c15_3
c15_3
mrr_c15_4
c15_4
mrr_c15_98
c15_98
mrr_c15_a
C15. a. When did the patient present with neurologic dysfunction?
mrr_c16
c16. Uterine dysfunction, with evidence of: SELECT ALL THAT APPLY.
mrr_c16_1
c16_1
mrr_c16_2
c16_2
mrr_c16_3
c16_3
mrr_c16_98
c16_98
mrr_c16_a
c16. a. When did the patient present with uterine dysfunction?
mrr_d1
D1. Was tetanus immunization status checked and managed adequately
mrr_d2
D2. Procoagulant agents
mrr_d2_a
D2a. Procoagulant agents provided SELECT ALL THAT APPLY.
mrr_d2_a_1
d2_a_1
mrr_d2_a_2
d2_a_2
mrr_d2_a_3
d2_a_3
mrr_d3
D3. Did the patient receive a transfusion of blood products
mrr_d3a_1_spy
1. How many units transfused
mrr_d3a_2_spy
2. How many units prescribed
mrr_label_d4_d
Questions
mrr_d4
D4. Repair of lacerations (cervical or vaginal)
mrr_d5
D5. Hysterectomy
mrr_d6
D6. Exploratory laparotomy
mrr_d7
D7. Laparoscopy
mrr_d8
D8. Admission to intensive care unit
mrr_e1
E1. Final primary diagnosis as recorded in patient medical record:
mrr_e1_spy
E1. Other (Specify)
mrr_e2
E2. Woman’s status at discharge
mrr_e2a
E2a. If discharged alive above, select whether the woman received any of the fo
mrr_e2a_1
e2a_1
mrr_e2a_2
e2a_2
mrr_e2a_3
e2a_3
mrr_e2a_4
e2a_4
mrr_e2a_5
e2a_5
mrr_e2a_98
e2a_98
mrr_e3
E3. Date of facility discharge, death, referral or day left against medical adv
mrr_e4latitude
E4. GPS INTERVIEWER NOTE: GPS coordinates can only be captured accurately when
mrr_e4longitude
E4. GPS INTERVIEWER NOTE: GPS coordinates can only be captured accurately when
mrr_e4altitude
E4. GPS INTERVIEWER NOTE: GPS coordinates can only be captured accurately when
mrr_e4accuracy
E4. GPS INTERVIEWER NOTE: GPS coordinates can only be captured accurately when
mrr_comments
End of interview E1. General comments
mrr_formdef_version
Form version used on device
pmsmrrmerge
Matching result from merge
pms_pat_result
End of the Patient PMS Interview. Outcome of the interview
region
A1. Region
level_rc
Facility level recoded
withincamp
Total: 1026